How much rates vary
Facilitymedian $1,380 · 10th to 90th $575 to $3,090Professionalmedian $251 · 10th to 90th $191 to $309
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $223.87 Median $295.12 Typical High $4,897.79 | Facility | None | $223.87 | $295.12 | $4,897.79 |
Aetna Setting Professional Modifier None Typical Low $218.78 Median $251.19 Typical High $309.03 | Professional | None | $218.78 | $251.19 | $309.03 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $112.20 Median $117.49 Typical High $151.36 | Professional | 52 · Reduced service | $112.20 | $117.49 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $47.86 Typical High $61.66 | Professional | 53 · Discontinued | $44.67 | $47.86 | $61.66 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $165.96 Median $177.83 Typical High $229.09 | Professional | 54 · Surgery only | $165.96 | $177.83 | $229.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $33.11 Median $35.48 Typical High $45.71 | Professional | 55 · Aftercare only | $33.11 | $35.48 | $45.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $22.39 Median $23.44 Typical High $30.90 | Professional | 56 · Pre-op care only | $22.39 | $23.44 | $30.90 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $154.88 Median $165.96 Typical High $213.80 | Professional | 78 · Unplanned return to OR | $154.88 | $165.96 | $213.80 |
BCBS Setting Facility Modifier None Typical Low $1,380.38 Median $1,412.54 Typical High $2,398.83 | Facility | None | $1,380.38 | $1,412.54 | $2,398.83 |
BCBS Setting Professional Modifier None Typical Low $43.65 Median $257.04 Typical High $275.42 | Professional | None | $43.65 | $257.04 | $275.42 |
Cigna Setting Facility Modifier None Typical Low $407.38 Median $407.38 Typical High $407.38 | Facility | None | $407.38 | $407.38 | $407.38 |
Cigna Setting Professional Modifier None Typical Low $173.78 Median $234.42 Typical High $407.38 | Professional | None | $173.78 | $234.42 | $407.38 |
Health Alliance Plan Setting Facility Modifier None Typical Low $288.40 Median $1,174.90 Typical High $4,897.79 | Facility | None | $288.40 | $1,174.90 | $4,897.79 |
Health Alliance Plan Setting Professional Modifier None Typical Low $199.53 Median $251.19 Typical High $309.03 | Professional | None | $199.53 | $251.19 | $309.03 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $109.65 Median $114.82 Typical High $151.36 | Professional | 52 · Reduced service | $109.65 | $114.82 | $151.36 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $45.71 Typical High $60.26 | Professional | 53 · Discontinued | $43.65 | $45.71 | $60.26 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $165.96 Median $173.78 Typical High $223.87 | Professional | 54 · Surgery only | $165.96 | $173.78 | $223.87 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $33.11 Median $34.67 Typical High $45.71 | Professional | 55 · Aftercare only | $33.11 | $34.67 | $45.71 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $21.88 Median $22.91 Typical High $30.20 | Professional | 56 · Pre-op care only | $21.88 | $22.91 | $30.20 |
Health Alliance Plan Setting Professional Modifier 78 · Unplanned return to OR Typical Low $154.88 Median $162.18 Typical High $208.93 | Professional | 78 · Unplanned return to OR | $154.88 | $162.18 | $208.93 |
Priority Health Setting Facility Modifier None Typical Low $407.38 Median $407.38 Typical High $407.38 | Facility | None | $407.38 | $407.38 | $407.38 |
Priority Health Setting Professional Modifier None Typical Low $173.78 Median $229.09 Typical High $371.54 | Professional | None | $173.78 | $229.09 | $371.54 |
United Setting Facility Modifier None Typical Low $602.56 Median $1,230.27 Typical High $5,248.07 | Facility | None | $602.56 | $1,230.27 | $5,248.07 |
United Setting Professional Modifier None Typical Low $204.17 Median $239.88 Typical High $309.03 | Professional | None | $204.17 | $239.88 | $309.03 |
Where Michigan sits
The same service costs 4.4 times more in Alaska than in Utah. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Michigan· 36th of 51
$257
AK $871UT $200
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.